One half of the discovery of mTORC1's main negative feedback loop. When mTORC1/S6K1 activity is left switched on, S6K1 phosphorylates IRS-1 and represses its expression, so the insulin receptor can no longer signal to PI3K. This is the textbook explanation for why blocking mTOR paradoxically RAISES Akt activity, and a major contributor to the insulin resistance seen with chronic rapalog dosing.
Tier D because it is mechanistic or in-vitro work (model: Mammalian cells (TSC1/TSC2-null MEFs, human cells)), not a whole-organism health-outcome study; tier describes study design, not quality -- this is often exactly where causal biology gets established.
| Evidence tier | D Mechanistic / in vitro / review |
| Study type | 5 - Mechanistic / In Vitro |
| Model system | Mammalian cells (TSC1/TSC2-null MEFs, human cells) |
| Journal | The Journal of Cell Biology |
| Year | 2004 |
| Peer reviewed | Yes |
| Record last updated | 2026-07-29 |
| Source | DOI 10.1083/jcb.200403069 · PMID 15249583 |
| Intervention | Genetic loss of TSC1/TSC2; S6K1 activity manipulation |
| Target | S6K1 -> IRS-1 -> PI3K/Akt |
| Model | Mammalian cells |
| Effect | Sustained S6K1 activity depletes IRS-1 and uncouples the insulin receptor from PI3K |
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Barton, O. (2026). The TSC1-2 tumor suppressor controls insulin-PI3K signaling via regulation of IRS proteins — evidence-graded record HAR2004. In Oliver's mTOR Atlas. https://mtor-atlas.org/study/HAR2004/ · Dataset DOI 10.5281/zenodo.22059963
@misc{atlas_HAR2004,
author = {Barton, Oliver},
title = {{The TSC1-2 tumor suppressor controls insulin-PI3K signaling via regulation of IRS proteins} --- evidence-graded record HAR2004},
howpublished = {Oliver's mTOR Atlas},
year = {2026},
url = {https://mtor-atlas.org/study/HAR2004/},
note = {Dataset DOI: 10.5281/zenodo.22059963}
}